Provider Demographics
NPI:1205479409
Name:HUNTER, JENNIFER (MS, BCBA)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 BIRCH RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-2655
Mailing Address - Country:US
Mailing Address - Phone:253-394-8458
Mailing Address - Fax:
Practice Address - Street 1:223 BIRCH RIDGE CIR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-2655
Practice Address - Country:US
Practice Address - Phone:253-394-8458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty